Medical Practice Licenses in Nebraska

License number
Nebraska 925
Address
Nebraska
Category
Medicine
Issued Date
Mar 10, 1997
Effective Date
Nov 23, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 2863
Address
Nebraska
Category
Medicine
Issued Date
Sep 18, 1998
Effective Date
Jun 1, 1999
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1746
Address
Nebraska
Category
Medicine
Issued Date
Dec 3, 1996
Effective Date
Oct 3, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 1315
Address
Nebraska
Category
Medicine
Issued Date
Oct 28, 1996
Effective Date
Oct 3, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 669
Address
Nebraska
Category
Medicine
Issued Date
May 7, 1998
Effective Date
Aug 4, 2001
Expiration Date
Oct 1, 2001
Type
Physician Assistant Supervisor
License number
Nebraska 2804
Address
Nebraska
Category
Medicine
Issued Date
Nov 3, 1998
Effective Date
Mar 24, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 3637
Address
Nebraska
Category
Medicine
Issued Date
Mar 30, 2000
Effective Date
May 15, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 1675
Address
Nebraska
Category
Medicine
Issued Date
Nov 27, 1996
Effective Date
Oct 3, 1998
Expiration Date
Oct 1, 1998
Type
Backup PA Supervisor
License number
Nebraska 4131
Address
Nebraska
Category
Medicine
Issued Date
Mar 2, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4781
Address
Nebraska
Category
Medicine
Issued Date
Jun 24, 2002
Effective Date
Aug 22, 2002
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4841
Address
Nebraska
Category
Medicine
Issued Date
Aug 7, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 4442
Address
Nebraska
Category
Medicine
Issued Date
Sep 5, 2001
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 445
Address
Nebraska
Category
Medicine
Issued Date
Oct 25, 1994
Effective Date
Aug 20, 1997
Type
Physician Assistant Supervisor
License number
Nebraska 3403
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Nov 25, 1996
Type
Temporary Educational Permit
License number
Nebraska GA-40849-B
Address
Nebraska
Category
Medicine
Issued Date
Aug 4, 2006
Effective Date
Aug 8, 2006
Expiration Date
Aug 8, 2006
Type
Physician Locum Tenens
License number
Nebraska GA-40849-C
Address
Nebraska
Category
Medicine
Issued Date
Sep 1, 2006
Effective Date
Sep 5, 2006
Expiration Date
Sep 5, 2006
Type
Physician Locum Tenens
License number
Nebraska GA-40849-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 17, 2006
Effective Date
Feb 21, 2006
Expiration Date
Feb 21, 2006
Type
Physician Locum Tenens
License number
Nebraska 7321
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2014
Effective Date
Aug 6, 2015
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 99
Address
Nebraska
Category
Medicine
Issued Date
Jul 2, 1990
Effective Date
May 3, 1995
Type
Osteopathic Physician & Surgeon
License number
Nebraska 4291
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2000
Effective Date
Jul 10, 2001
Expiration Date
Jul 1, 2002
Type
Temporary Educational Permit
License number
Nebraska 6133
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Mar 25, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit